Doctors Peters, Smith, Wu, and Powell

Billing FAQs

Basic Questions Billing Information Insurance Information Payment Methods


Basic Questions

What is ProPath?
ProPath is a national anatomic pathology medical practice, owned by pathologists, operating a laboratory in Dallas, Texas. ProPath’s pathologists also provide laboratory and medical direction for various hospitals in the Dallas/Fort Worth area.

I have a question about my bill. Whom should I contact?
All of your questions and concerns can be addressed by contacting the ProPath Billing Department online through our Customer Service or by calling 214-631-6721, or toll-free at 800-654-1888. A call center representative can assist you with any questions you may have about your bill.

What are your billing customer service hours of operation?
Hours: Monday through Friday, 8:00 a.m. to 5:30 p.m. Central Time.


Billing Information

Why have I received a bill from ProPath?
Your physician has submitted a specimen(s) to ProPath. ProPath performs the requested tests and send the results back to your referring physician. ProPath will bill insurance, if applicable and once insurance has processed, any patient responsibility will be billed to the patient. These charges represent the tests ordered from the referring physician.

The ProPath companies that bill for medical services include:

  • ProPath Services, LLP

  • ProPath Associates

Bills from ProPath Services, LLP are generally for outpatient laboratory testing (such as biopsies and Pap smears) performed at your physician's office or a surgery center.
Bills from ProPath Associates, our hospital-based pathology practice, are for the professional services relating to laboratory testing performed at various area hospitals. If you recently had a hospital encounter (either inpatient or outpatient), you may very likely receive a bill from ProPath as our pathologists direct several hospital laboratories.

I paid my co-pay at the doctor's office. Why am I getting a bill from ProPath?
Co-payments typically cover physician office visits only. Any patient responsibility, typically deductible and/or coinsurance, based on your member agreement with your health plan will be billed to you once your insurance has processed your claim. This will be reflective on your ProPath billing statement as well as your Explanation of Benefits (EOB) from your insurance.


Insurance Questions

Why have I received a bill when I have insurance that covers my laboratory testing?
Please remember that insurance plans have varying benefit levels and only you can be sure your insurance company processed your claim according to your plan provisions. If you feel your claim was processed incorrectly, please contact your insurance company.

Does ProPath accept my insurance?
ProPath is a participating provider with most insurance companies. If ProPath is not a participating provider with your insurance, ProPath will send you a billing statement for any portion applied to your out-of-network deductible and/or coinsurance and you will be expected to pay the bill accordingly.

I have a secondary insurance plan. Does ProPath file those claims for me?
ProPath will file all primary and secondary insurance claims on your behalf based on the information sent to us when the testing is ordered. Once all plans have processed your claim, you will be billed for any remaining portion. If ProPath failed to file to the proper insurance or to your secondary, please contact Customer Service and they can assist.

I have Medicare or Medicaid. What will I have to pay?
Medicare patients must meet their annual deductible and a 20 percent coinsurance. If you have a secondary plan, please let us know. Medicaid patients will have no out-of-pocket expenses. If you are on a limited Medicaid plan, such as Family Planning or Emergent Care Only, you may be billed for any charges denied by your insurance plan.

Can ProPath tell me how much my tests will cost?
It is difficult to estimate the total cost of ordered tests. The pathologist may see the need for special stains or additional testing to be performed in order to be able to render a diagnosis.

The "explanation of benefits" that I received from my insurance is different from the information on my ProPath bill. What should I do?
Please remember that your Explanation of Benefits (EOB) from your insurance is not a bill. If ProPath determines your insurance processed your claim incorrectly, ProPath will appeal to your insurance on your behalf. Do not pay anything until you have received a billing statement from ProPath.

 


Payment Methods

What method of payment does ProPath accept?
ProPath accepts checks, money orders, VISA or Master Card. PLEASE DO NOT SEND CASH AS PROPATH CANNOT ENSURE ITS SAFE DELIVERY. You may pay your bill online, by mail or phone. To pay online, go to www.propath.com and follow the prompts to make a payment.

Does ProPath have a program for patients experiencing financial hardship?
ProPath understands that sometimes families are under financial hardships. For this reason, ProPath has various payment arrangements available for patients with no insurance, limited coverage, or whose insurance may not cover the tests performed.

Will ProPath provide me a discount if I don't have insurance?
ProPath has discount programs available for uninsured patients.
To inquire about payment arrangements, please call: 214-631-6721 or 800-654-1888, Monday through Friday, 8:00 a.m. to 5:30 p.m. Central Time.